Payment Posting Specialist

Yosemite Pathology Medical Group • Modesto, CA

8d • Onsite

About The Position

The Payment Posting Specialist is expected to maintain high levels of accuracy, productivity, accountability, and professionalism while ensuring timely and compliant payment posting within XiFin. This role involves accurately posting insurance and patient payments, adjustments, denials, recoupments, refunds, and EFT/ERA transactions within established turnaround times. The specialist will maintain daily productivity standards, manage assigned work queues, and minimize backlog. A key responsibility is reconciling daily deposits, payment batches, and account balances, promptly identifying and escalating any discrepancies. The role requires applying contractual adjustments and payer-specific posting guidelines in accordance with company policies and regulatory requirements, as well as researching and resolving unapplied cash, posting errors, and payment variances. Processing refund requests in compliance with company policies, HIPAA regulations, CMS guidelines, and payer requirements is also essential. The Payment Posting Specialist will effectively utilize XiFin and related systems, follow established workflows and standard operating procedures, and collaborate with billing, coding, accounts receivable, and client billing teams to resolve payment and account issues. Maintaining confidentiality of patient and financial information, assisting with month-end close activities, audits, and reporting requests, and communicating professionally with leadership and team members are also core duties. Dependable attendance, punctuality, professionalism, and accountability are expected in daily job performance.

Requirements

• High school diploma or equivalent required.
• Minimum three (3) years of medical billing, payment posting, and/or accounts receivable experience required.
• Advanced knowledge of commercial and government insurance plans, including PPO, HMO, IPA, Medicare, and Medicaid.
• Strong understanding of claims adjudication, reimbursement methodologies, denials, appeals, contractual adjustments, and accounts receivable workflows.
• Working knowledge of CPT and ICD coding, insurance eligibility, benefits verification, and payer requirements.
• Ability to interpret and analyze EOBs, ERAs, remittance advice, payment variances, and payer correspondence.
• Strong analytical, problem-solving, and research skills with the ability to resolve account discrepancies accurately and efficiently.
• Excellent attention to detail, organizational skills, and time management abilities in a fast-paced, high-volume environment.
• Ability to prioritize workload, manage multiple tasks, and meet productivity expectations independently.
• Proficient in Microsoft Office Suite, including Excel and Word, and comfortable navigating multiple electronic billing and reporting systems.
• Strong written and verbal communication skills with the ability to collaborate professionally across departments.
• Demonstrated adaptability, reliability, accountability, and professionalism.

Nice To Haves

• Laboratory billing and revenue cycle experience preferred.
• Experience with XiFin or similar healthcare billing systems preferred.

Responsibilities

• Post insurance and patient payments, adjustments, denials, recoupments, refunds, and EFT/ERA transactions accurately and within established turnaround times.
• Maintain daily productivity standards while managing assigned work queues and minimizing backlog.
• Reconcile daily deposits, payment batches, and account balances; identify and escalate discrepancies promptly.
• Apply contractual adjustments and payer-specific posting guidelines in accordance with company policies and regulatory requirements.
• Research and resolve unapplied cash, posting errors, and payment variances.
• Process refund requests in compliance with company policies, HIPAA regulations, CMS guidelines, and payer requirements.
• Utilize XiFin and related systems effectively while following established workflows and standard operating procedures.
• Collaborate with billing, coding, accounts receivable, and client billing teams to resolve payment and account issues.
• Maintain confidentiality of patient and financial information.
• Assist with month-end close activities, audits, and reporting requests as needed.
• Communicate professionally with leadership and team members regarding issues, escalations, and workflow updates.
• Maintain dependable attendance, punctuality, professionalism, and accountability in daily job performance.

Benefits

• 401(k) includes an employer match up to 4%
• Robust health plans including dental, vision, life, and mental health support.
• Offer generous annual vacation and sick time
• 10 paid holidays

What This Job Offers

• Job Type: Full-time
• Career Level: Mid Level
• Education Level: High school or GED